Tennessee Senate Bill SB0673

Tennessee 2023-2024 Regular Session

• Introduced: 1/26/23

Caption

AN ACT to amend Tennessee Code Annotated, Title 56, relative to prosthetic devices.

Impact

The bill outlines that a health benefit plan may require prior authorization for prosthetic devices, similar to other covered benefits, but must limit coverage to the most appropriate models that meet the medical needs of patients as determined by their treating physician. Additionally, it compels health insurance entities to cover repairs and replacements of prosthetic devices unless caused by misuse or loss. This legislation is expected to enhance access to necessary medical equipment for individuals requiring prosthetics, indicating a significant shift in health coverage policy within the state.

Summary

Senate Bill 0673, introduced to amend Tennessee Code Annotated, Title 56, focuses on enhancing the coverage of prosthetic devices within health benefit plans. This bill mandates that health benefit plans provide coverage for prosthetic devices that is aligned with the benefits provided under federal laws for health insurance for the aged and disabled. The aim is to ensure that individuals with limb loss or other conditions requiring prosthetics are adequately supported by their health insurance plans, thus improving their quality of life.

Contention

While there seems to be broad support for ensuring coverage for prosthetic devices, the method of implementation may raise questions. There may be concerns regarding the prior authorization process which could delay access to necessary devices for patients. Additionally, the stipulation that coverage is dependent on the diagnosis and recommendation of a treating physician could lead to debates on what constitutes 'medical needs,' potentially complicating the process for patients seeking these essential devices.